Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ACADIANA MEDICINE CLINIC, APMC

NPI: 1245364819 · OPELOUSAS, LA 70570 · Pulmonary Disease Physician · NPI assigned 03/15/2007

$691K
Total Medicaid Paid
29,014
Total Claims
22,026
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBORDELON, JOSEPH (PRESIDENT)
NPI Enumeration Date03/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,482 $119K
2019 4,365 $95K
2020 5,075 $137K
2021 5,194 $153K
2022 4,019 $70K
2023 3,356 $71K
2024 2,523 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,976 5,549 $162K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,579 6,239 $128K
99232 Subsequent hospital care, per day, moderate complexity 6,929 1,451 $126K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,302 1,229 $104K
95811 479 444 $73K
95810 Polysomnography; sleep staging with 4 or more additional parameters 281 265 $44K
94060 1,111 1,044 $12K
94726 1,097 1,047 $9K
99308 Subsequent nursing facility care, per day, straightforward 2,173 2,073 $9K
94729 1,007 957 $8K
99233 Prolong inpt eval add15 m 215 64 $7K
94010 602 580 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 26 12 $2K
99222 Initial hospital care, per day, moderate complexity 65 52 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 103 38 $1K
99205 Prolong outpt/office vis 29 26 $977.52
99490 Ccm add 20min 91 91 $155.84
99406 57 49 $100.98
94664 28 25 $83.97
90686 56 56 $61.59
99307 72 72 $25.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 80 80 $0.00
99318 46 46 $0.00
G0008 Administration of influenza virus vaccine 43 43 $0.00
99305 21 17 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 15 15 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 531 462 $0.00